BRADLEY MANN WAGNER

LOUISVILLE, KY
NPI1184766362
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  PT-005075)
Enumeration Date2007-02-13
Last Update Date2007-07-08
Business Address
BRADLEY MANN WAGNER PT, DPT
616 EXECUTIVE PARK
LOUISVILLE, KY 40207-4206
Phone number: 502-896-9355
Mailing Address
BRADLEY MANN WAGNER PT, DPT
8605 COOL BROOK CT
LOUISVILLE, KY 40291-1501
Phone number: 502-836-9240
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